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CASE REPORT
Korean J Pediatr 2011 May;54(5) :219-223.
doi:https://doi.org/10.3345/kjp.2011.54.5.219
A case of McKusick-Kaufman syndrome
Se Hyung Son (Son SH), Yoon Joo Kim (Kim YJ), Eun Sun Kim (Kim ES), Ee Kyung Kim (Kim EK), Han Suk Kim (Kim HS), Beyong Il Kim (Kim BI), Jung Hwan Choi (Choi JH)
Department of Pediatrics, Seoul National University College of Medicine, Seoul, Korea
Corresponding Author: Jung Hwan Choi ,Tel: +82-2-2072-3630, Fax: +82-2-743-3455, Email: neona@plaza.snu.ac.kr
Copyright © 2011 by The Korean Pediatric Society
ABSTRACT
McKusick-Kaufman syndrome (MKS) is an autosomal recessive multiple malformation syndrome characterized by hydrometrocolpos (HMC) and postaxial polydactyly (PAP). We report a case of a female child with MKS who was transferred to the neonatal intensive care unit of Seoul National University Childrens Hospital on her 15th day of life for further evaluation and management of an abdominal cystic mass. She underwent abdominal sonography, magnetic resonance imaging, genitography and cystoscopy which confirmed HMC with a transverse vaginal septum. X-rays of the hand and foot showed bony fusion of the left third and fourth metacarpal bones, right fourth dysplastic metacarpal bone and phalanx, right PAP and hypoplastic left foot with left fourth and fifth dysplastic metatarsal bones. In addition, she had soft palate cleft, mild hydronephroses of both kidneys, hypoplastic right kidney with ectopic location and mild rotation, uterine didelphys with transverse vaginal septum and low-type imperforated anus. She was temporarily treated with ultrasoundguided transurethral aspiration of the HMC. Our patient with HMC and PAP was diagnosed with MKS because she has two typical abnormality of MKS and she has no definite complications of retinal disease, learning disability, obesity and renal failure that develop in Bardet-Biedl syndrome, but not in MKS until 33 months of age. Here, we describe a case of a Korean patient with MKS.
Keywords: McKusick-Kaufman syndrome | Bardet-Biedl syndrome | Hydrometrocolpos | Polydactyly
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